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Friday 17 January 2020
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100 Coaches Programmes: Trevor Roe Case Study

As a part of our 100 Coaches Programmes celebration, we spoke to some of the people who attended the very first coaches programme in December 2014.

Trevor Roe is a Registered Practitioner, Therapeutic Counselling, for the Derbyshire Community Health Services NHS Trust, Specialist Learning Disability Service.

How did you feel about the Coaches Programme when you were on it?

“I thought it was excellent and really informative. The way it was run encouraged you to share your thoughts and opinions with others on the course and helped create strong links with other organisations and professionals which have continued ever since. It was a great space to share our knowledge and expertise.”

Did the Coaches Programme meet your expectations?

“It did. I’d been on previous BILD courses and they’d been good so I thought it would be pretty on the money, and well delivered. But in fact it was even better that that. It was a lot more inclusive than I thought it might be, being open, very informal and inclusive helped the learning process.

It was three intensive days with a lot to take in, but it didn’t feel like that, well structured through the modules, the time and information flowed well.”

What do you feel were the most important elements you brought from the course? 

“It gave us a systematic approach to Positive Behaviour Support (PBS), and a clear focus on the way to go forward and develop it for our organisation. 

Many can contribute to and develop PBS plans, including speech and language therapists, nurses, support workers, care givers and families are all critical to development of PBS plans."

How hard has it been to make progress?

“It hasn’t been a smooth process, there has been some differing views around how to manage behaviour and felt it was discipline specific. However by developing a joint approach in line with PBS values and ethics as a core, working practices and effectiveness has significantly improved.

I say to service managers, ‘PBS is a tidal wave and you’re not going to stop it – better to be on board surfing with it, making change happen for those we support and our own staff.’ 

In looking at a creating pathway for the people coming in to our service, choosing PBS as the vehicle for that pathway helped me to plan the flow of the patient through the service in a systematic way. In selling that approach to the services we work with, the PBS evidence base was crucial in demonstrating that as well as being more ethical and right for the person being supported and the staff providing the support, that this was an effective and more economical system of managing behaviour in the long run.

It’s helped begin the transformation of our organisation, other units and services using PBS play an increasingly important role in supporting people to deal with the issues that produce behaviours of concern. There’s also a lot more cross-service coordination. All this has significantly reduced the number of behavioural re-referrals to the psychology and counselling service." 

What are you most proud of achieving since the Programme? 

“We’ve sent a clear picture to people in Derbyshire in relation to PBS, a message that we’re about improving our clients lives and the working lives of the care givers who support them. 

It’s very clear too that everyone coming together to adopt a coherent approach has helped join up services across the county. Representatives from the relevant Trusts and organisations are working together to agree a joint document, to be ratified in early 2018, of the behavioural approaches being used with aim of everyone moving away from the breakaway and restraint techniques previously used, to PBS approaches based upon the 10 Key Components. 

Once agreed this will be a ground breaker - everyone across Derbyshire will be working to the same approach and plan.” 

What pleases you most about the progress you’ve made?

“A clear behavioural pathway for our service which is values based, and does not support restraint as a primary intervention, that is based on PBS being the primary approach. 

We’re also embarking next year on a major study to prove across a significant data sample that there’s been a reduction across the full range of restrictive practices as a result of adopting PBS.” 

What has helped most?

My colleagues, we’ve all worked together so well on this, it’s been an absolutely amazing journey!”

What has hindered the above? 

“The culture – a few people being set in their traditional view of using behaviour modification, and old outdated understandings about approaches to challenging behaviour.”

How can BILD support people like you to implement PBS? 

“Sometimes you can feel a bit isolated, it would help if we could have a representative from BILD to do presentations to support services to implement PBS, someone with the authority and experience to stand behind the service planner and say why this is the right approach.”

Have you participated in any of the CAPBS Coaches Network Summits or Regional meetings?

“Yes, I’ve found them really useful. They’re really good for peer supervision, we’ve 3 or 4 Coaches to be trained by end of this year, they’ll be encouraged to join as well.”

6 December, 2017


trevor roe

“PBS is a tidal wave, you need to get on board and change things for those we support, and for staff.”